全文获取类型
收费全文 | 50208篇 |
免费 | 2645篇 |
国内免费 | 221篇 |
专业分类
耳鼻咽喉 | 686篇 |
儿科学 | 1159篇 |
妇产科学 | 981篇 |
基础医学 | 6335篇 |
口腔科学 | 2845篇 |
临床医学 | 3688篇 |
内科学 | 12753篇 |
皮肤病学 | 1133篇 |
神经病学 | 4110篇 |
特种医学 | 1052篇 |
外科学 | 7622篇 |
综合类 | 300篇 |
一般理论 | 18篇 |
预防医学 | 3648篇 |
眼科学 | 939篇 |
药学 | 2815篇 |
中国医学 | 178篇 |
肿瘤学 | 2812篇 |
出版年
2024年 | 41篇 |
2023年 | 375篇 |
2022年 | 852篇 |
2021年 | 1837篇 |
2020年 | 994篇 |
2019年 | 1439篇 |
2018年 | 1674篇 |
2017年 | 1138篇 |
2016年 | 1237篇 |
2015年 | 1414篇 |
2014年 | 2088篇 |
2013年 | 2559篇 |
2012年 | 4193篇 |
2011年 | 4290篇 |
2010年 | 2449篇 |
2009年 | 2068篇 |
2008年 | 3470篇 |
2007年 | 3471篇 |
2006年 | 3300篇 |
2005年 | 3192篇 |
2004年 | 2720篇 |
2003年 | 2420篇 |
2002年 | 2190篇 |
2001年 | 259篇 |
2000年 | 197篇 |
1999年 | 289篇 |
1998年 | 389篇 |
1997年 | 288篇 |
1996年 | 256篇 |
1995年 | 241篇 |
1994年 | 192篇 |
1993年 | 149篇 |
1992年 | 133篇 |
1991年 | 106篇 |
1990年 | 64篇 |
1989年 | 52篇 |
1988年 | 58篇 |
1987年 | 60篇 |
1986年 | 69篇 |
1985年 | 69篇 |
1984年 | 71篇 |
1983年 | 62篇 |
1982年 | 51篇 |
1981年 | 66篇 |
1980年 | 79篇 |
1979年 | 43篇 |
1978年 | 42篇 |
1977年 | 55篇 |
1976年 | 32篇 |
1975年 | 31篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
81.
82.
83.
James Edward Paul Elizabeth Ling Carlos Lalonde Lehana Thabane 《Journal canadien d'anesthésie》2007,54(10):799-810
PURPOSE: To determine if deliberate hypotension decreases blood loss and transfusion requirements in patients undergoing orthopedic surgery, a systematic review of all randomized trials addressing this issue was undertaken. METHODS: Electronic databases, citations lists and review articles were searched for potential articles. Relevant articles met the following inclusion criteria: English language, humans undergoing orthopedic surgery, deliberate hypotension used by any method, intraoperative blood loss measured as an outcome, and the trial methodology being randomized and controlled. Four outcomes were analyzed, including estimated blood loss, blood transfused, surgery duration, and quality of the surgical field. For all analyses, the random-effects model was used. RESULTS: Seventeen articles met the inclusion criteria. The surgeries studied included total hip arthroplasty (seven), orthognathic surgery (eight), total knee arthroplasty (one) and spinal fusion (one). A total of 636 patients were randomized across all studies. For blood loss, the overall weighted mean difference favoured treatment, with a savings of about 287 mL of blood [95% confidence interval (CI): -447, -127]. The mean differences also showed a statistically significant benefit for deliberate hypotension in reducing transfusion requirements (-667 mL of blood transfused; 95% CI: -963, -370). Deliberate hypotension was not shown to reduce the duration of surgery (-1.9 min of surgery; 95% CI: -7.2, 3.5) or improve surgical conditions (surgical field quality rating -0.5; 95% CI: -1.1, 0.2). CONCLUSION: This review provides some support for the use of deliberate hypotension in reducing blood loss and transfusion requirements in orthopedic surgery, but these results are tempered by the small sample sizes and poor methodological quality of published studies. 相似文献
84.
Israel Lerman Liliana Lozano Antonio
R. Villa Sergio Hernndez-Jimnez Katie Weinger A. Enrique
Caballero Carlos Aguilar Salinas Maria Luisa Velasco Francisco Javier Gmez-Prez Juan
A. Rull 《Biomedicine & Pharmacotherapy》2004,58(10):566-570
To examine the relationship between demographic, clinical and psychosocial variables and diabetes self-care management in Mexican type 2 diabetic patients. Cross-sectional study of 176 consecutive patients with type 2 diabetes aged 30-75 years, attending a tertiary health-care center in Mexico City. A brief medical history and previously validated questionnaires were completed. The study group consisted of 64 males/112 females, aged 55 +/- 11 years, mean diabetes duration of 12 +/- 8 years and HbA1c of 9.0 +/- 2.0%, 78.4% reported following the correct dose of diabetes pills or insulin, 58% ate the recommended food portions, and 44.3% did exercise three or more times per week. A good adherence to these three recommendations was observed in only 26.1% of the patients. These patients considered as a group were characterized by a greater knowledge about the disease (P < 0.00001), regular home blood glucose monitoring (P < 0.01), an inner perception of better diabetes control (P = 0.007), good health (P = 0.004) and better communication with their physician (P < 0.02). A poor adherence to two or the three main diabetes care recommendations was associated with a depressive state (OR 2.38, 95% CI 1.1-4.9, P < 0.01) and a history of excessive alcohol intake (OR 4.03, 95% CI 1.1-21.0, P = 0.03). Poor adherence to standard diabetes care recommendations is frequently observed in patients with type 2 diabetes attending a specialized health care center in Mexico City. Depression must be identified and treated effectively. 相似文献
85.
Carlos Estrela Cyntia Rodrigues de Araújo Estrela Augusto César Braz Hollanda Daniel de Almeida Decurcio Jesus Djalma Pécora 《Journal of applied oral science : revista FOB》2006,14(1):33-37
The purpose of this research was to verify the influence of Iodoform on antimicrobial potential of calcium hydroxide. S. aureus, E. faecalis, P. aeruginosa, B. subtilis, C. albicans were the biological indicators. The substances tested were: calcium hydroxide + saline; calcium hydroxide + Iodoform + saline; Iodoform + saline. For the agar diffusion test, 18 Petri plates with 20 ml of BHI agar were inoculated with the microbial suspensions. Fifty-four cavities were made and filled with the substances tested. The diameters of microbial inhibition were then measured. In direct exposure test, 162 #50 sterile absorbent paper points were immersed in the experimental suspensions for 5 min, and covered with the pastes. At intervals of 24, 48 and 72 hours, the paper points were immersed in 10 ml of Letheen Broth, followed by incubation at 37°°C for 48h. Microbial growth was evaluated by turbidity of the culture medium. A 0.1 ml inoculum obtained from the Letheen Broth was transferred to 7 ml of BHI, and incubated at 37°°C for 48h. Bacterial growth was again evaluated by turbidity of the culture medium. The calcium hydroxide associated with the saline or the iodoform plus saline showed antimicrobial effectiveness in both experimental methods. The iodoform paste presented antimicrobial ineffectiveness for the agar diffusion test on all biological microorganisms and for the direct exposure test on B. subtilis and on the mixture. 相似文献
86.
Juan Francisco Casanova Rafael Herruzo Jesus Diez 《Infection control and hospital epidemiology》2006,27(7):709-715
OBJECTIVES: To assess the appropriateness of using the indices developed by the Study on the Efficacy of Nosocomial Infection Control (SENIC) and the National Nosocomial Infections Surveillance (NNIS) project to determine risk factors for surgical site infection (SSI) in children and, if not appropriate, to explore the factors related to SSI in children so these factors could be used in a risk index for pediatric patients. DESIGN: Cohort study during more than 4 years. SETTING: La Paz University Hospital, a national reference center that serves Health Area 5 of Madrid, Spain, which has approximately 500,000 inhabitants. PATIENTS: Convenience sample consisting of the 3,646 children admitted for surgery who had a postsurgical stay of more than 2 days. RESULTS: A model with 8 predictive factors (degree of surgical contamination; duration of surgery; type of surgery; use of a peripheral venous catheter, central venous catheter, or urinary catheter; number of diagnoses; and SSI exposition time) was created. Its relation to the SSI rate was better than that of the SENIC or NNIS indices. Its sensitivity, specificity, and area under the receiver-operating characteristic curve were higher than that of the SENIC index. CONCLUSIONS: The model that we created seems to be more adequate for predicting SSI and evaluating pediatric patients' intrinsic risk than the SENIC and NNIS indices. 相似文献
87.
Maria José GaldOn Estrella Durá Yolanda Andreu Maite Ferrando Rafael Poveda José Vicente Bagán 《Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics》2006,102(1):40-46
OBJECTIVE: This study analyzes the differences in psychological variables and symptomatology between temporomandibular disorder diagnosis subgroups. STUDY DESIGN: The sample included 114 temporomandibular disorder patients that were evaluated in coping, distress, and temporomandibular characteristics. Diagnostic muscular (n = 58) and articular (n = 56) subgroups were compared in these variables through a MANCOVA. RESULTS: Muscular patients show a higher level of general distress, specifically in the anxiety and somatization subscales and a more active coping style, with a tendency of a minor use of humor and a higher number of parafunctional habits, specifically, biting nails, hangnails, and lips. CONCLUSION: We discuss the differences found in order to design the targets of the psychological intervention of temporomandibular patients. 相似文献
88.
89.
Carlos Cotrim Otília Sim?es M J Loureiro Pedro Cordeiro Rita Miranda Cecília Silva Teresa Avillez Manuel Carrageta 《Revista portuguesa de cardiologia》2006,25(5):529-533
We describe the case of a pregnant woman with idiopathic pulmonary arterial hypertension, a responder in right heart catheterization, followed since the first trimester in outpatient consultations, admitted to hospital at 23 weeks gestation. She was treated with inhaled iloprost until delivery (at 34 weeks gestation) and continuous infusion of iloprost throughout the perioperative period and following days. This line of therapy has proved efficacious in previous cases. The authors present echocardiographic images that document acute changes in ventricular synchrony during inhalation of iloprost. 相似文献
90.
Linda Wang D.D.S. M.S. Ph.D. Lawrence Gonzaga Lopes D.D.S. M.S. Ph.D. Eduardo Bresciani D.D.S. M.S. José Roberto Pereira Lauris D.D.S. M.S. Ph.D. Rafael Francisco Lia Mondelli D.D.S. M.S. Ph.D. Maria Fidela de Lima Navarro D.D.S. Ph.D. 《Special care in dentistry》2004,24(1):28-33
Atraumetic Restorative Treatment (ART) has been adopted around the world to avoid unnecessary extractions, especially in non-industrialized countries The development of specific glass ionomer cements marketed for the ART technique has contributed to the technical success rate. In this study. Ketac-Molara (3M ESPE. Dental Medzn Germany) was used to restore 150 Class I cavities in 118 Brazilian public school children, aged from 7–12 years. At baseline and at subsequent recalls. CPI probes with a ball-end of 0.5 millimeters (mm) were used to assess loss of restorative material, and photographic color transparencies of restorations were made. After six months. 83 patients returned for follow-up examinations, with 71.8% of their restorations designated as acceptable. After three years. 49 patients with 57 ART-restorations were evaluated, with 21.0% of these restorations graded as acceptable Another 29.8% of their restorations had been replaced by more permanent materials. The main objective of the ART technique is tooth retention; this was achieved for 94.7% of the restored teeth in a high caries risk population who returned for recalls. 相似文献